Gerald Demarest MD

NPI 1063428621 - Internal Medicine - 207RC0000X

NPI Details
NPI 1063428621
Gender Male
Enumeration Date 08/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2ND AMBULATORY CARE CTR
2211 LOMAS BLVD. NE
ALBUQUERQUE NM, 87131-0001, US
Phone (505) 272-2336
Fax
Business Location
2211 LOMAS BLVD NE
MSC10 5610
ALBUQUERQUE NM, 87131-0001, US
Phone (505) 272-2336
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State New Mexico
License Number 83-186
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According to our database, Gerald Demarest MD NPI is 1063428621, taxonomy code is 207RC0000X and license number is 83-186, license state is located at New Mexico. Gerald Demarest MD physically located at 2nd Ambulatory Care Ctr, Albuquerque NM, 87131-0001. NPI Number Gerald Demarest MD has the Individual type.

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1063428621 NPI number is provided on an as is basis without warranty of any kind. 1063428621 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Demarest MD are for informational purposes only.